Registration Form
 
     
     
  Name:
  Address:
  City:
  State:        Zip: 
  Home Phone:
  Work Phone:
  Email:
  Please list name of each person who will attend the event:

adultchild adultchild adultchild adultchild adultchild

adultchild

 

 

How did you hear about this event? 
   

Amount enclosed: 

                   

                    $10 per adult x  =

                        $5 per child x     =
     
                                                    TOTAL: 
 

 

Please complete the registration form and send it in with your registration fee payable to CCE to:                                              

 
 
Chinese Cultural Exchange, LLC.
22E Andover Drive
West Hartford, CT 06110
(860) 953-3322
E-mail: info@MingsChina.com